Long Term Care RN
Berlin, New Hampshire
Coos County Nursing Home Berlin

LTC RN (Registered Nurse)

Location: Berlin, New Hampshire Contract Length: 6 weeks Hours per Week: 48 Shifts: Evening, Night

Required Qualifications

• BLS certification
• Must have prior long-term care (LTC) or skilled nursing facility (SNF) experience
• Minimum of 1 year of experience

Preferred Qualifications

• 2 years of experience
• Experienced travelers preferred (first-time travelers accepted)

Facility Overview

• 100 residents: 96 semi-private beds and 4 private beds
• 2 floors: 1 LTC floor and 1 LTC-SNF floor
• No locked units. Dementia and Alzheimer's patients wear a tracker that locks the door when they approach it.
• Nurse-to-patient ratio: 1:17 to 1:20
• Charting: EMR combined with paper charting
• Radius rule: must be within 50 miles. Candidates must disclose any prior work for this facility in their submission.

Patient Population and Clinical Scope

• Common diagnoses: diabetes (DM), COPD, post-stroke, heart disease, fractures, dementia, Alzheimer's, rehab, chronic conditions, and multiple comorbidities
• Occasional IV antibiotics and potential PICC line management
• No telemetry monitors
• No respiratory therapist on-site. LPNs and RNs manage respiratory treatments and equipment (CPAP, nasal cannula, high-flow). No tracheostomies or ventilators.
• Pharmacy: bubble packs for patient prescriptions and house stock of generic medications

Job Duties

• Medication passes, vitals, blood sugar checks and management
• Wound care, ostomy management, Foley management, tube feeding administration
• Assisting other team members

Schedule and Coverage

• Days: 7 AM–3 PM or 7 AM–7 PM (typically 3 RNs and/or LPNs, 4–5 LNAs per floor, and 1 MNA)
• Evenings: 3 PM–11 PM
• Nights: 11 PM–7 AM, or 7 PM–7 AM (typically 2 RNs and/or LPNs, 4–5 LNAs per floor)
• Schedule is posted 6 weeks in advance. Travelers are asked to stay flexible and help fill gaps in permanent staffing.
• Every other weekend
• May be asked to work holidays
• No call or standby requirement; covered by permanent staff
• Can float between either floor
• DON and ADON on-site 7 AM–4 PM
• Supervisor on every shift; House Supervisor oversees the whole facility when assigned

Provider Coverage

• NP rounds each morning, Monday through Friday
• Two MDs: one on Tuesday and Friday evenings, one twice a month on Wednesdays
• After hours, the on-call provider is reached through the hospital

Team and Orientation

• Interdisciplinary team: PT, OT, SLP, case managers, social workers, and dietitians
• Required to attend daily huddle
• Department-specific orientation: 3 shifts with a preceptor

Dress Code

• Any color scrubs; must look professional
• No large earrings or jewelry, no artificial nails, hair must be up, no face tattoos